Implementation of a Transitional Model of Care for Congestive Heart Fai

During exacerbations of Congestive Heart Failure (CHF), older patients may mystify deal out in multiple laidtings often resulting in fragmentise do by and poorly-executed care transitions. The negative consequences of fragmented care lead to duplication of serve inappropriate or conflicting discharge instructions, medication errors, patient/ health care provider anxiety, and increased costs of care. In light of changes in Medicare reimbursement penalizing hospitals with above set limits for heart failure (HF) readmissions, models of care are being evaluated for their effectiveness in satisfying this change as well as reducing fragmented care in this existence. This paper reviews the transitional Care Model created by Dr. Mary Naylor at the University of Pennsylvania (Penn Nursing Science, 2013). This model in introduces a patient-centered interdisciplinary team intervention designed to improve transitions across care settings. Congest ive Heart FailureCongestive heart failure (CHF) is a condition in which the heart is incapable of adequately pumping blood throughout the body or unable to stop blood from backing up into the lungs. The most common cause of CHF is hypertension, previous myocardial infarctions, disorders of the heart ponderousness or the valves of the heart, and chronic lung diseases such as asthma or emphysema. CHF is a common diagnosis for individuals sixty five years and older. With the growing population of baby boomers, the rate of CHF is predicted to nearly double over the next twoscore years and will be a drain on health care resources. Treatment costs are estimated around $20 to $40 billon, with $8 to $15 billion spent on hospitalization alone (Quaglietti, Edwin, Ackerman, & Froelihe... ...he Medicare tiptoe for Service Program. New England Journal of Medicine, 360 1418-1468.Naylor, M. (2012). Transitional Care Model. Retrieved from http//www.fiercehealthcare.com/special-reports/transi tional-care-modelPenn Nursing Science. (2013). Transitional Care Model-About TCM. Retrieved from http//www.transitonalcare.info/about.tcmQuaglietti, S. E., Edwin, J., Ackerman, L., & Froeliher, V. (2000, November/December). Management of the Patient with Congestive Heart Failure use Outpatient, Home and Palliative Care. Progress in Cardiovascular Diseases, 43(3), 259-274. Retrieved from www.cardiology.org/recentpapers/susiechfpdfSenthilraj, G., & Ganeshan, R. (2013). Effects of a Hospital Wide Quality Improvement (Doctoral dissertation, University of Connecticut). Retrieved from http//digitalcommons.uconn.edu/cgi/vecontent.cgi?article=1464&context=gs_thesis